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A Case of Intestinal Duplication Cyst Identified as Pathological Lead Point in a Child with Recurrent Intussusception  

Lee, Kun-Song (Department of Pediatrics, College of Medicine, Dankook University)
Park, Ji-Yun (Department of Pediatrics, College of Medicine, Dankook University)
Oh, Jong-Seok (Department of Pediatrics, College of Medicine, Dankook University)
Seong, In-Chang (Department of Pediatrics, College of Medicine, Dankook University)
Han, Kang-Min (Department of Pathology, College of Medicine, Dankook University)
Lee, Young-Seok (Department of Radiology, College of Medicine, Dankook University)
Publication Information
Pediatric Gastroenterology, Hepatology & Nutrition / v.13, no.1, 2010 , pp. 75-80 More about this Journal
Abstract
Intestinal duplication cysts are characterized by the attachment to some part of the gastrointestinal tract with which a blood supply is shared, and have an epithelial lining resembling some part of the alimentary tract. A 15-month-old female was admitted to our hospital with cyclic irritability, vomiting, and blood-tinged stool. The results of an ultrasound showed an ileocolic intussusception and a 1.3 cm cystic mass had double-wall sign and a Y-configuration with an adjacent ileal loop. She had a past history of two ileocolic intussusceptions. The cystic mass was considered to be a pathologic lead point, so resection and end-to-end anastomosis was performed. The gross and histologic evaluation of the specimen demonstrated a $2.4{\times}2.4$ cm cystic mass containing yellow mucoid fluid and the cyst wall was lined with intestinal and gastric mucosa and enclosed by a layer of muscle, which was shared with the adjacent ileum.
Keywords
Intestinal duplication cyst; Intussusception; Pathologic lead point; Double wall sign; Y-configuration;
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Times Cited By KSCI : 3  (Citation Analysis)
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